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5 Nov 2012, 5:51 am
It's no secret that Medicare pays significantly more for certain services when they are performed in a hospital outpatient department than when they are performed in a physician office. [read post]
27 Nov 2012, 1:16 pm
If you're like most physicians, you have probably given some recent thought to selling your practice or merging with one or more other groups. [read post]
30 Jul 2013, 7:37 am
Curious what the future of medicine will look like? [read post]
12 Sep 2011, 7:33 am
Federal health care fraud enforcement authorities announced last week that they successfully carried out another major national health care fraud sting which they say is the largest of its kind. [read post]
26 Feb 2014, 12:36 pm
The recent federal antitrust case of Federal Trade Commission and State of Idaho, Plaintiffs, v. [read post]
30 Sep 2013, 7:22 am
In representing healthcare providers, we are frequently called upon to assist with labor and employment legal matters. [read post]
14 Aug 2018, 6:45 am
CMS recently issued its proposed changes to the 2019 Medicare Physician Fee Schedule, which include a controversial change to the reimbursement rates for Level 2-5 evaluation and management (E/M) services and some notable changes to the Quality Payment Program. [read post]
24 Feb 2011, 2:55 pm
In case you thought that you didn’t need to pay much attention to complying with the HIPAA Privacy Rule, a Notice of Final Determination issued by the Office of Civil Rights (OCR) of the Department of Health and Human Services this month should get your attention. [read post]
18 Aug 2011, 6:50 am
The results of a comprehensive study published this week in the New England Journal of Medicine (NEJM) confirms that physicians’ fears of being sued for malpractice are not irrational. [read post]
3 May 2012, 5:54 am
When it comes to record-breaking Medicare fraud busts, the hits keep coming. [read post]
31 Mar 2011, 8:52 am
Several federal agencies have just issued much awaited proposed guidance regarding Accountable Care Organizations (ACOs) under the Medicare Shared Savings Program. [read post]
12 Feb 2010, 5:24 am
Physicians, Wondering why cash is a little tighter in 2010? [read post]
9 Aug 2011, 3:20 pm
According to an announcement this week, the Centers for Medicare and Medicaid Services (CMS) has extended its 5-year Physician Group Practice (PGP) Payment Demonstration program by another two years. [read post]
18 Jul 2017, 9:50 am
Under CMS’s new Quality Payment Program, which will adjust Medicare Part B payments starting in 2019 based on data from this year, physicians and other eligible clinicians must qualify for one of two payment “tracks”, either the Merit-Based Incentive System (MIPS) or the Advanced Alternative Payment Model (Advanced APM) track. [read post]
28 Apr 2014, 6:53 am
Many physicians I speak with are still surprised to learn that the federal Stark statute imposes restrictions on income division within group practices. [read post]
30 Jun 2014, 3:29 pm
Are you and your practice ready to be rated by Medicare? [read post]
4 Mar 2015, 10:34 am
By J. [read post]
5 Jan 2016, 6:11 am
This week the Office of Inspector General (OIG) published Advisory Opinion 15-16 addressing a 501(c)(3) charitable foundation (the “Requestor”) that would seek donations from third parties (including drug manufacturers) and provide financial assistance with out-of-pocket patient expenses for outpatient prescription drugs. [read post]
30 Jul 2009, 8:38 am
Citing lingering confusion over to whom the identity theft rules apply, the FTC announced yesterday that it is delaying the Red Flags Rule compliance date for a third time. [read post]
28 May 2010, 11:57 am
Five California physicians are among the eleven individuals indicted by a federal grand jury on May 20, 2010 for Medicare fraud. [read post]
